How much rates vary
Facilitymedian $72 · 10th to 90th $30 to $148Professionalmedian $41 · 10th to 90th $26 to $68
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $30.20 Median $38.02 Typical High $120.23 | Facility | None | $30.20 | $38.02 | $120.23 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $22.39 Median $28.84 Typical High $102.33 | Facility | TC · Technical part | $22.39 | $28.84 | $102.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $30.20 Typical High $51.29 | Professional | None (both parts) | $24.55 | $30.20 | $51.29 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $7.59 Typical High $12.59 | Professional | 26 · Professional part | $6.76 | $7.59 | $12.59 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $22.39 Typical High $37.15 | Professional | TC · Technical part | $17.78 | $22.39 | $37.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $67.61 Median $81.28 Typical High $147.91 | Facility | None | $67.61 | $81.28 | $147.91 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $30.20 Median $47.86 Typical High $69.18 | Professional | None (both parts) | $30.20 | $47.86 | $69.18 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $12.02 Typical High $17.38 | Professional | 26 · Professional part | $8.51 | $12.02 | $17.38 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $36.31 Typical High $60.26 | Professional | TC · Technical part | $25.70 | $36.31 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $125.89 Typical High $354.81 | Facility | None | $89.13 | $125.89 | $354.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $22.91 Median $34.67 Typical High $63.10 | Professional | None (both parts) | $22.91 | $34.67 | $63.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $9.77 Typical High $17.38 | Professional | 26 · Professional part | $6.46 | $9.77 | $17.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $23.44 Typical High $43.65 | Professional | TC · Technical part | $15.49 | $23.44 | $43.65 |
Denver HMP Setting Facility Modifier None Typical Low $26.92 Median $37.15 Typical High $57.54 | Facility | None | $26.92 | $37.15 | $57.54 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | None (both parts) | $56.23 | $56.23 | $56.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $31.62 Median $44.67 Typical High $66.07 | Professional | None | $31.62 | $44.67 | $66.07 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $11.75 Typical High $16.98 | Professional | 26 · Professional part | $7.76 | $11.75 | $16.98 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $33.11 Typical High $48.98 | Professional | TC · Technical part | $22.39 | $33.11 | $48.98 |
Select Health Setting Facility Modifier None Typical Low $30.20 Median $56.23 Typical High $63.10 | Facility | None | $30.20 | $56.23 | $63.10 |
Select Health Setting Professional Modifier None (both parts) Typical Low $22.91 Median $37.15 Typical High $70.79 | Professional | None (both parts) | $22.91 | $37.15 | $70.79 |
United Setting Facility Modifier None Typical Low $380.19 Median $398.11 Typical High $457.09 | Facility | None | $380.19 | $398.11 | $457.09 |
United Setting Professional Modifier None (both parts) Typical Low $25.70 Median $37.15 Typical High $57.54 | Professional | None (both parts) | $25.70 | $37.15 | $57.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $10.23 Typical High $16.60 | Professional | 26 · Professional part | $7.59 | $10.23 | $16.60 |
United Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $26.30 Typical High $42.66 | Professional | TC · Technical part | $17.78 | $26.30 | $42.66 |
4 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.30 Median $15.14 Typical High $15.49 | Professional | 52 · Reduced service | $12.30 | $15.14 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $6.03 Typical High $6.31 | Professional | 53 · Discontinued | $4.90 | $6.03 | $6.31 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $19.50 Median $23.99 Typical High $23.99 | Professional | FX · Film X-ray | $19.50 | $23.99 | $23.99 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $31.62 Median $40.74 Typical High $56.23 | Professional | 50 · Both sides | $31.62 | $40.74 | $56.23 |
Where Colorado sits
The same service costs 3.7 times more in Alaska than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Colorado· 14th of 51
$41.69
AK $83.18FL $22.39
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.